I am board-certified in pediatric endocrinology and have been on the faculty of Cincinnati Children’s Hospital Medical Center and the University of Cincinnati since 2008. I completed my training in the United Kingdom, New Zealand, and Cincinnati. I serve as the medical director of the Cincinnati Children’s Differences of Sex Development (DSD) Center and the assistant director of the pediatric endocrinology fellowship training program.
I care for children and adolescents with a wide spectrum of endocrine conditions, including growth, puberty, thyroid, and adrenal disorders. I collaborate with interdisciplinary specialists to deliver the endocrine aspects of comprehensive and integrated care for patients with complex conditions. I lead the Cincinnati Children’s DSD Center, which provides interdisciplinary care for people born with conditions affecting reproductive development. The DSD Center is a member of the DSD-Translational Research Network, a national network that strives to optimize and standardize clinical practices and advance scientific knowledge in this field. I also serve as the primary endocrine consultant for the Cincinnati Comprehensive Neuromuscular Center. In conjunction with the neuromuscular team, I have helped pioneer global awareness of the importance of endocrine issues in patients affected by Duchenne Muscular Dystrophy.
MB, BCh: University of Wales College of Medicine, Cardiff, United Kingdom
FRACP: Royal Australasian College of Physicians, New Zealand
Residency: University Hospital of Wales, Cardiff, United Kingdom
Residency: Auckland Children's Hospital and Dunedin Hospital, Auckland and Dunedin, New Zealand
Residency: Cincinnati Children's Hospital Medical Center, Cincinnati, OH
Fellowship: Pediatric Endocrinology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH
Certifications: American Subspecialty Board of Pediatric Endocrinology, 2003, recertified 2013; American Board of Pediatrics, 2002; Fellow of the Royal Australasian College of Physicians (Pediatrics), 1995
Pediatric endocrinology, including growth, puberty, thyroid and adrenal disorders; differences of sex development, or conditions affecting reproductive development; endocrine and bone health in neuromuscular conditions
Differences of sex development; endocrine issues and bone health associated with Duchenne muscular dystrophy
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Optimizing Care for Growth and Puberty in Duchenne Muscular Dystrophy: A Survey of Clinical Practice in the OPTIMIZE DMD Consortium. Muscle and Nerve. 2026; 74(2):433-439.
Navigating sexual health, fertility, and adult wellness in individuals with Duchenne muscular dystrophy: Current standards of care and future directions. Journal of Neuromuscular Diseases. 2026; 22143602261454423.
From X to Y and everything in between: navigating care for patients with 45,X/46,XY mosaicism. Endocrine Abstracts. 2026.
Caring for Gender Diverse Youth With Duchenne Muscular Dystrophy: A Multisite Case Series. Pediatric Neurology. 2026; 179:87-90.
From case to caution: hyponatremia in a patient with Duchenne muscular dystrophy on vamorolone and lessons for clinicians. Neuromuscular Disorders. 2026; 62:106411.
The burden of bone disease in Duchenne muscular dystrophy: age-specific prevalence of osteoporosis and low bone density. Osteoporosis International. 2026; 37(5):1319-1328.
Acute Adverse Events Following Intravenous Bisphosphonate Infusion Are Uncommon in Patients With Duchenne Muscular Dystrophy Previously Treated With Oral Bisphosphonates. Muscle and Nerve. 2026; 73(3):445-451.
Adrenal Suppression in Duchenne Muscular Dystrophy: Management Strategies Incorporating Novel Steroid Vamorolone. Journal of the Endocrine Society. 2026; 10(2):bvaf181.
Defining Success in the Delivery of Fertility-Related Care for Patients with Differences of Sex Development. Hormone Research in Paediatrics. 2026; 99(1):81-90.
MON-474 Adrenal Control in Pediatric 11β-Hydroxylase Deficient CAH Patients Using Different Hydrocortisone Formulations: A Two-Patient Case Study. Journal of the Endocrine Society. 2025; 9(Supplement_1):bvaf149.1731.
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